1. Home
  2. Directory
  3. Arkansas
  4. Fayetteville
  5. Counselor
  6. NPI Profile

JESSICA IMS
NPI 1598457475
Counselor - Mental Health in Fayetteville, AR

Active since May 22, 2023Opted out of Medicare · through Sep 30, 2027
34 W COLT SQUARE DR STE 3, FAYETTEVILLE, AR 72703(479) 595-0333 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Ims NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA IMS (NPI 1598457475) is an individual mental health provider in Fayetteville, Arkansas, licensed in Arkansas (A2212010) and active in the NPI registry since May 2023. She has opted out of Medicare through September 30, 2027.

NPPES Registry Identity

NPI1598457475
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA IMS
Location Address34 W COLT SQUARE DR STE 3Fayetteville, AR 72703-2888
Mailing Address13935 Pyramid DrRogers, AR 72758-7527
Phone(479) 595-0333
Sole ProprietorNo
Enumeration DateMay 22, 2023
NPPES CertifiedMay 21, 2023
✔ NPI 1598457475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AR · A2212010
34 W COLT SQUARE DR STE 3, Fayetteville, AR 72703
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jessica Ims has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 30, 2025 through September 30, 2027.

Opt-Out Effective DateSeptember 30, 2025
Opt-Out In Effect ThroughSeptember 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIAN LEIGH VARNADORE LAC
Counselor (Mental Health)
34 W COLT SQUARE DR STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 535-0333
MARY LOGAN THOMAS MS, LAC
Counselor (Mental Health)
34 W COLT SQUARE DR STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 595-0333
ELIZABETH DOWELL LAC
Counselor (Mental Health)
34 W COLT SQUARE DR STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 595-0333
MIKE BUFFINGTON, M.D., P.A.
Family Medicine
34 W COLT SQUARE DR STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 521-1420
MICHAEL L. BUFFINGTON M.D.
Family Medicine
34 W COLT SQUARE DR STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 521-1420
HAILEY JO WYRE LAC
Counselor (Mental Health)
34 W COLT SQUARE DR STE 3
FAYETTEVILLE, AR 72703
Washington County (479) 595-0333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Ims's NPI number?

The NPI number for Jessica Ims is 1598457475. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Jessica Ims located?

Jessica Ims practices at 34 W Colt Square Dr Ste 3, Fayetteville, AR 72703. The listed phone number is (479) 595-0333.

What is Jessica Ims's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Ims enrolled in Medicare?

No. Jessica Ims has opted out of Medicare through September 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Ims was last updated on May 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.